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目的 探讨玻璃体视网膜手术治疗复杂性视网膜脱离的效果。方法 应用玻璃体切割联合剥膜、视网膜切开、重水注入、眼内激光光凝、气液交换眼内气体 C3F8或硅油充填术治疗 4 2例各种复杂性视网膜脱离进行回顾性分析。结果 随访 2～ 2 8月 ,解剖性复位 33只眼 (78.6 % ) ,视力≥ 0 .0 2的功能性成功 31只眼 (73.8% ) ,术中并发症眼内出血 2只眼 ,医源性裂孔 5只眼 ,重水进入视网膜下 1只眼 ,术后并发高眼压 3只眼 ,角膜变性混浊 1只眼。结论 玻璃体视网膜手术是治疗复杂性视网膜脱离的理想的有效方法。彻底地剥膜 ,正确并有技巧的应用重水 ,选择合适的玻璃体腔填充物及避免并发症发生是手术成功的关键
Objective To investigate the effect of vitreoretinal surgery on complex retinal detachment. Methods Retrospective analysis of 42 cases of complex retinal detachment with vitrectomy combined with stripping, retinal incision, heavy water injection, intraocular laser photocoagulation, gas-liquid exchange intraocular gas C3F8 or silicone oil filling were performed. Results The follow-up was performed from February to August, 33 eyes (78.6%) were anatomically resected, 31 eyes (73.8%) with visual acuity ≥0.02, 2 eyes intraocular hemorrhage, Holes 5 eyes, heavy water into the retina 1 eye, postoperative high intraocular pressure in 3 eyes, corneal degeneration and opacity 1 eye. Conclusion Vitreoretinal surgery is an ideal and effective method for the treatment of complex retinal detachment. Completely stripping the membrane, correct and skilled application of heavy water, choose the appropriate vitreous cavity filler and prevent complications is the key to the success of the operation